Pharmacology and Hypertension

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Questions and Answers

Which medication class presents the greatest risk of falls for patients?

  • Antibiotics
  • Sedative-hypnotics (correct)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Antihypertensives

A patient prescribed disulfiram (Antabuse) for alcohol use disorder should be educated to avoid which of the following?

  • Taking acetaminophen for pain
  • Engaging in strenuous exercise
  • Using mouthwash containing alcohol (correct)
  • Consuming aged cheeses

When educating a patient about alprazolam (Xanax), which activities should the nurse advise the patient to avoid?

  • Maintaining a consistent sleep schedule
  • Engaging in regular physical exercise
  • Consuming a diet rich in tyramine
  • Driving or operating heavy machinery (correct)

What is a common adverse effect of diazepam (Valium) that patients should be educated about?

<p>Respiratory depression (A)</p> Signup and view all the answers

Which adverse effect of phenytoin (Dilantin) typically necessitates immediate discontinuation of the medication?

<p>Skin rash (e.g., Stevens-Johnson syndrome) (D)</p> Signup and view all the answers

A client receiving IV morphine exhibits respiratory depression. Which medication should the nurse prepare to administer?

<p>Naloxone (B)</p> Signup and view all the answers

A patient overdoses on an opioid analgesic. Which medication is the most appropriate to administer?

<p>Naloxone (B)</p> Signup and view all the answers

What is the antidote for benzodiazepine overdose?

<p>Flumazenil (B)</p> Signup and view all the answers

A patient is taking omeprazole for peptic ulcer disease. Which finding indicates that the medication is having a therapeutic effect?

<p>Decreased abdominal pain (A)</p> Signup and view all the answers

Which of the following lifestyle modifications is most effective in managing hypertension?

<p>Adopting a diet low in sodium and rich in fruits and vegetables (B)</p> Signup and view all the answers

In a patient experiencing a myocardial infarction, what is the primary action of aspirin (Ecotrin)?

<p>Prevention of further platelet aggregation (D)</p> Signup and view all the answers

Which of the following is considered a non-modifiable risk factor for stroke?

<p>Age (D)</p> Signup and view all the answers

A nurse administers the wrong medication to a client. What is the priority nursing action?

<p>Notify the provider and assess the client. (A)</p> Signup and view all the answers

Where should the nurse auscultate to assess the apical pulse?

<p>Left midclavicular line, 5th intercostal space (B)</p> Signup and view all the answers

Which of the following is a modifiable risk factor for heart disease?

<p>Smoking (B)</p> Signup and view all the answers

A patient taking warfarin (Coumadin) has an elevated INR. What is the most appropriate intervention?

<p>Administer vitamin K. (D)</p> Signup and view all the answers

Which medications are classified as sedative-hypnotics and pose an increased risk of falls?

<p>Antihistamines and Benzodiazepines (C)</p> Signup and view all the answers

Which activity should a patient taking disulfiram for alcohol use disorder specifically avoid?

<p>Using Alcohol Based Hand Sanitizer (B)</p> Signup and view all the answers

Why might a patient taking alprazolam be advised to avoid driving or operation heavy machinery?

<p>Alprazolam can cause drowsiness, dizziness, and reduces alertness. (D)</p> Signup and view all the answers

Which adverse effect of diazepam should the nurse prioritize teaching the patient about?

<p>Respiratory depression. (C)</p> Signup and view all the answers

Which assessment finding indicates the need for immediate discontinuation of phenytoin?

<p>Widespread blistering rash (D)</p> Signup and view all the answers

A patient receiving IV morphine is experiencing bradypnea. Which medication should the nurse prepare?

<p>Naloxone (D)</p> Signup and view all the answers

A patient has been administered an opioid analgesic and later exhibits signs of respiratory depression and sedation. Which medication is indicated to reverse these effects?

<p>Naloxone (D)</p> Signup and view all the answers

Which medication is indicated for the reversal of a benzodiazepine overdose?

<p>Flumazenil (A)</p> Signup and view all the answers

What therapeutic effects should a nurse monitor for in a patient taking omeprazole?

<p>Reduced stomach acid production and heartburn symptoms (C)</p> Signup and view all the answers

Which modifiable risk factor should the nurse include when planning educational interventions for a client with hypertension?

<p>Obesity (A)</p> Signup and view all the answers

A patient having a heart attack is administered asprin. What is its action?

<p>To prevent the formation of new blood clots. (C)</p> Signup and view all the answers

Which of the following contributes to stroke risk?

<p>Increasing Age (B)</p> Signup and view all the answers

What is a priority action that a nurse should take when a wrong medication dosage is given to a patient

<p>Notify the health provider (B)</p> Signup and view all the answers

Where is the most appropriate location to assess a patient's apical pulse?

<p>Left midclavicular line at the fifth intercostal space (A)</p> Signup and view all the answers

Which intervention is most appropriate when a patient taking Warfarin has a supratherapeutic INR value?

<p>Administer Vitamin K (C)</p> Signup and view all the answers

What is the physiological process of Cardiac Output and Tissue Perfusion responsible for?

<p>Pumping oxygenated blood to tissues and organs (B)</p> Signup and view all the answers

What is the major purpose of Cognition and Sensation on the body?

<p>Sensing and recognizing the changing environment (B)</p> Signup and view all the answers

What is the primary function of the Ingestion, Digestion, Absorption & Elimination body system?

<p>Processing foods and getting rid of the waste products (B)</p> Signup and view all the answers

What is the major purpose of Regulation and Metabolism in the body?

<p>To help manage body temperature and energy production (C)</p> Signup and view all the answers

Which medication is most likely a sedative-hypnotic?

<p>Diphenhydramine (C)</p> Signup and view all the answers

What would you expect in a patient taking Diazepam?

<p>Decreased respiration rate. (C)</p> Signup and view all the answers

What should you tell a patient who is being prescribed Phenytoin?

<p>Make sure to visit the dentist regularly. (D)</p> Signup and view all the answers

What effects should you monitor a patient prescribed Omeprazole for?

<p>Decreased abdominal pain. (B)</p> Signup and view all the answers

Flashcards

Medication class increasing fall risk

Sedative-hypnotics increase the risk of falls due to their CNS depressant effects, causing drowsiness, dizziness, and impaired coordination.

Disulfiram patient education

Patients on disulfiram should avoid alcohol in all forms to prevent a severe reaction including nausea, vomiting, flushing, and headache.

Activities to avoid with alprazolam

When taking alprazolam, avoid alcohol and other CNS depressants, operating heavy machinery, and activities requiring alertness.

Diazepam adverse effect

Diazepam can cause respiratory depression, especially when combined with other CNS depressants.

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Phenytoin adverse effect

Gingival hyperplasia (gum overgrowth) is a common adverse effect of phenytoin that sometimes requires discontinuation.

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Morphine antidote

Naloxone (Narcan) is the antidote/antagonist for morphine and other opioid overdoses.

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Medication for opioid overdose

Naloxone is administered for opioid analgesic overdose, reversing respiratory depression and sedation.

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Benzodiazepine Antagonist

Flumazenil is an antagonist for Benzodiazepines

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Omeprazole effectiveness

Effective omeprazole treatment results in decreased heartburn, acid reflux, and epigastric pain, indicating reduced gastric acid production.

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Modifiable hypertension risk factors

Modifiable risk factors for hypertension include diet, weight, exercise, and stress management. Interventions include reducing sodium intake, increasing physical activity, and maintaining a healthy weight.

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Aspirin action during heart attack

Aspirin inhibits platelet aggregation, preventing further clot formation in a patient experiencing a heart attack.

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Non-modifiable stroke risk factors

Non-modifiable risk factors for stroke include age, race, gender, and family history.

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Priority action for medication error

The priority nursing action after a medication error is to assess the patient's condition and monitor for adverse effects.

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Apical pulse location

The apical pulse is assessed at the fifth intercostal space, midclavicular line.

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Modifiable heart disease risk factors

Modifiable risk factors for heart disease include smoking, high cholesterol, hypertension, obesity, physical inactivity, and diabetes.

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Warfarin reversal agent

If a patient on warfarin has an elevated INR, administer vitamin K to reverse the effects of warfarin and decrease the INR.

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Study Notes

  • Sedative-hypnotics increase the risk of falls.
  • Disulfiram education should include avoiding alcohol intake to prevent adverse reactions.
  • Alprazolam education should include avoiding activities that require alertness.
  • A side effect/adverse effect of diazepam is respiratory depression.
  • The most common adverse effect of phenytoin requiring immediate discontinuation is skin rash/Steven Johnson's Syndrome.
  • The antidote/antagonist for morphine is naloxone.
  • The medication for opioid analgesic overdose is naloxone.
  • The antagonist for benzodiazepines is flumazenil.
  • Omeprazole effectiveness is manifested by a decrease in symptoms such as abdominal pain and heartburn.

Health Promotion for Hypertension

  • Modifiable risk factors for hypertension include obesity, high sodium intake, smoking, excessive alcohol consumption, and physical inactivity.
  • Interventions to decrease blood pressure include dietary changes (reduce sodium, increase potassium), regular exercise, weight management, and smoking cessation.
  • Lifestyle changes include adopting a healthy diet, increasing physical activity, quitting smoking, and managing stress.

Aspirin Action in Myocardial Infarction

  • Aspirin inhibits platelet aggregation, reducing the formation of blood clots.

Non-Modifiable Risk Factors for Stroke

  • Non-modifiable risk factors for stroke include age, gender, race, and family history.

Priority Action for Medication Error

  • The priority nursing action is to assess the patient's condition and notify the healthcare provider.

Assessing Apical Pulse

  • The apical pulse is assessed at the fifth intercostal space, midclavicular line.

Modifiable Risk Factors for Heart Disease

  • Modifiable risk factors for heart disease include smoking, high cholesterol, high blood pressure, physical inactivity, obesity, diabetes, and stress.

Elevated INR with Warfarin

  • Administer Vitamin K, the reversal agent for warfarin, if the patient has an elevated INR and signs of bleeding.

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